I’m finishing my PhD project, which I analysed high grade serous ovarian carcinoma on patients with different clinical responses to carboplatin using transcriptome and I found MMP14 differentially expressed. On protein analysis, higher levels of MMP14 immunostaining were associated with better prognosis (OS and PFS survival analysis). I’m struggling to understand how MMP14 could initiate intraperitoneal metastases, with initial detachment of tumour spheroids from the surface of the ovary (Lengyel 2010) and at the meantime, be a protective factor of better prognosis in high grade serous ovarian carcinoma.
Have someone a hypothesis to share about this?